HL7 Europe Hospital Discharge Report
1.0.0-alpha - qa-preview 150

HL7 Europe Hospital Discharge Report, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-alpha built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/hdr/ and changes regularly. See the Directory of published versions

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Official URL: http://hl7.eu/fhir/hdr/ImplementationGuide/hl7.fhir.eu.hdr | Version: 1.0.0-alpha
Draft as of 2026-04-17 | Computable Name: Hl7EuHospitalDischargeReportIg
Copyright/Legal: Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).

Acknowledgment
The development of this Implementation Guide version has been supported by the Xt-EHR Joint Action. Xt-EHR provided expertise, alignment with European health policy priorities, and validation of specifications to enable consistency with EHDS requirements.
This is a QA preview version: this Implementation Guide is published for review and discussion purposes only.

The content is subject to change and is provided as-is, without warranty of any kind and without liability for its use.

> Obligations

> Obligations have been added to this version of the guide only as Informative material to collect feedback about their usage.

> For more details about obligations please refer to the Obligations page

> Section Codes

> Not all the LOINC codes used in this version align with the purpose of the sections, and in some cases, temporary 'local' codes have been assigned.

> A collaboration with LOINC has been established to identify the most appropriate codes for the HDR sections.

> Adopters should be aware that codes may be subject to change.

### Scope

Specify a set of rules to be applied to HL7 FHIR to define how to represent a Hospital Discharge Report in the European Context, coherently with the European eHN Guidelines (see the European eHealth - Key documents ).

Its main goal is to define the content components and a preferable structure to be used for composing an Hospital Discharge Report.

This includes both jurisdictional and cross border scenarios.

This guide doesn't describe how this report is exchanged.

### Purpose

The goal of this Implementation Guide is to define an European standard for the Hospital Discharge Report to facilitate the harmonization among the national initiatives and prepare the ground for the European EHR eXchange Format (E-EHRxF).

This project is promoted by HL7 Europe, but realized in collaboration with several other European and national organizations and projects.

The aspiration of this guide is that of being used as basis for European National Guides, the European EHRxF and - consequently - by MyHealth@EU for the EU cross-border services.

### Background

This guide is part of the group of HL7 FHIR Implementation Guides published by HL7 Europe to support the priority categories identified by the European Health Data Space Regulation (EHDS).

This activity has been carried out in a neutral working space by engaging EEHRxF-related initiatives (Xt-EHR, MyHealth@EU Architecture WG, EU-funded projects), national and regional agencies, relevant stakeholders, and interested communities (e.g. EU HL7 Affiliates, IHE Europe).

More details about the project background can be found in the background page.

### Design approach

The project design approach is described in the Design approach page.